NPI | 1891909669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101243519) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: TN 42340) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2022-08-09 |